Flashcards in NICU Deck (53)
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1
8 main things that bring bbs to the NICU?
1. RDS
2. Meconium aspiration syndrome
3. Hypoxic ischemic encephalopathy
4. Congenital diaphragmatic hernia
5. abdominal wall defet=cts
6. neuromuscular disorders
7. orthopaedic issues
8. PREMATURITY
2
NICU is a ______ environment due to premature bbs weakened immune system
protected
3
what is meconium?
thick black tar like fluid that fills bb's intestines in womb; if bb is in distress may expel the meconium and inhale it
4
Average gestation age for an infant is ____ weeks
40
5
Bbs born at 40 weeks are referred to being born __ ___
at term
6
Bb's born earlier than __ weeks are considered to be premature / preterm
37
7
Outcomes are ______ related to gestational age at birth; bbs born _____ will have a higher incidence of mortality and morbidity
inversely; earlier
8
Age of viability in BC?
23 weeks
9
Large role in the NICU not directly related to bb?
supporting family!!!
10
Why does corrected gestational age matter?
1. for accurate ax of developmental delays
2. to reduce stress for parents (who might compare their bb to other bbs of the same chronological age?
11
Until term, a bb's CGA is calculated by taking their gestational age and adding their age in ___
weeks
12
After term, how is CGA calculated?
by taking chronological age and subtracting how many months the premature baby was
13
Age is corrected with CGA until about __ years
2
14
_____ is an important predictor of outcomes
birthweight
15
Average birth weight?
3500g
16
Low birth weight?
less than 2500 g
17
Very low birth weight?
less than 1500g
18
Bb's woh are not growing adequately in utero are described as having _______ ___ _____
intrauterine growth restriction
19
4 common causes of prematurity ?
1. pregnancy of multiples
2. fetal anomalies
3. maternal health issues
4. associations with low socio-economic status/poor prenatal care
20
2 resp complications of prematurity ?
1. bronchopulmnoary dysplasia
2. chronic lung disease
21
2 neurological complications of prematurity?
1. intraventricular hemorrhage
2. periventricular leukomalacia
22
Vision complication of prematurity ?
retinopathy of prematurity
23
Gut complication of prematurity ?
necrotizing enterocolitis
24
Cardiac complication of prematurity?
patent ductus arteriosus
25
RDS is caused by a lack of ______ in premie bbs
surfactant
26
RDS will have a ____ ____ appearance on CXR
ground glass
27
Bronchopulmonary dysplasia (BPD) = ____ and ____ of lungs
scarring; stiffness
28
BPD defined as O2 dependence at ___ weeks CGA
36
29
What 2 things might BPD be accompanied by?
1. pulmonary HTN
2. abnormal pulmonary vascular development
30
